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The shocking note comes after thugs smashed the window of an ambulance in Salford, Greater Manchester, as they rushed a child to hospital on emergency blue lights in an unrelated incident.

North West Ambulance Service shared photos of the smashed window on Twitter branding it a "mindless act of vandalism".

An NWAS spokesperson said: “The vast majority of the time, we are treated with the greatest respect by the public and our patients but on occasion we have found ourselves subject to mindless vandalism.

“What may seem like a prank can have serious implications to the ambulance service.

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This NWAS ambulance had its window smashed

“Not only could it cost a huge amount of money in repair bills, it can put vital vehicles off the road meaning they are unable to be used to respond to emergencies and can even endanger our staff and patients.

“We will always work with our police colleagues to report acts of vandalism which can result in serious punishments for offenders.”

In February paramedics in Stoke-on-Trent were shocked to find an aggressive note left on their ambulance after attending a 999 call.

Paramedic Katie Tudor tweeted the image with the caption: "So upset to be sent this by one of our crews this morning! Along with this note left on their ambulance, they received a load of verbal abuse!"

She later added: "They weren't blocking the road, they were in a parking space... just obviously annoying someone that an ambo was outside their property."